Healthcare Provider Details

I. General information

NPI: 1518300813
Provider Name (Legal Business Name): GEORGE K DONAVOS CRNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2013
Last Update Date: 10/24/2024
Certification Date: 10/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2319 S GEORGE ST
YORK PA
17403-5009
US

IV. Provider business mailing address

601 MEMORY LANE
YORK PA
17402
US

V. Phone/Fax

Practice location:
  • Phone: 717-812-4090
  • Fax: 717-741-3554
Mailing address:
  • Phone: 717-851-1405
  • Fax: 717-851-6969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP014911
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberSP013399
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License NumberSP014911
License Number StatePA
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP014911
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: